SLOW SCULPTURE (NPI# 1831263078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831263078 |
| Entity Type | Organization |
| Organization Name | SLOW SCULPTURE |
| Other Organization Name | MONTE VERDE |
| Practice Address |
5715 Monte Verde Dr Santa Rosa CA 95409-3921 |
| Practice Telephone | 7075377024 |
| Practice Fax Number | 7075371753 |
| Mailing Telephone | 7075377024 |
| Mailing Fax Number | 7075371753 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SARANE ALISON BAKER-COLLI NS (CFO) |
| Authorized Official Telephone | 7075377024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| MONTE VERDE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124192364 | Slow Sculpture | Nursing Facility/Intermediate Care Facility | 4520 Badger Rd, Santa Rosa, CA 95409-2631 | 2006-11-20 |
| 1942372933 | Slow Sculpture | Nursing Facility/Intermediate Care Facility | 5001 Parkhurst Dr, Santa Rosa, CA 95409-3221 | 2006-11-14 |
| Street Address |
5715 MONTE VERDE DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124192364 | Slow Sculpture | Nursing Facility/Intermediate Care Facility | 4520 Badger Rd, Santa Rosa, CA 95409-2631 | 2006-11-20 |
| 1942372933 | Slow Sculpture | Nursing Facility/Intermediate Care Facility | 5001 Parkhurst Dr, Santa Rosa, CA 95409-3221 | 2006-11-14 |
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|---|---|---|---|---|
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| 1467092015 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 10318 Laramie Ave, Chatsworth, CA 91311-2530 | 2020-01-12 |
| 1265070064 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St Ste B1, Upland, CA 91786-4576 | 2019-12-12 |
| 1427692128 | Cg Estepa Care Home 2, Inc. | Nursing Facility/Intermediate Care Facility | 12800 Thornberg Way, Rancho Cordova, CA 95742-7812 | 2019-11-05 |
| 1669022547 | Continuum Living, LLC | Nursing Facility/Intermediate Care Facility | 24343 Pawnee Trl, Moreno Valley, CA 92557-5033 | 2019-09-12 |
| 1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
| 1063994408 | Sinai Congregate Living Facility | Nursing Facility/Intermediate Care Facility | 1759 Windermere Drive, Lancaster, CA 93534-5319 | 2018-09-01 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.